Indiana QMA Insulin Administration
INDIANA QMA INSULIN ADMINISTRATION CERTIFICATION |
COMPLETE EXAM 2026/2027 | QUESTIONS AND 100%
VERIFIED ANSWERS | PASS GUARANTEE
1. What does the acronym QMA stand for in Indiana long-term care
regulation?
A. Qualified Medication Aide
B. Quality Medication Administrator
C. Qualified Med-Surg Aide
D. Qualified Medical Assistant
Correct Answer: A
2. In Indiana, QMA insulin administration authority is primarily
governed under which body of administrative code?
A. 210 IAC insurance code
B. 440 IAC environmental code
C. 410 IAC (Indiana Administrative Code, health facility regulations)
D. 310 IAC natural resources code
Correct Answer: C
3. Which agency oversees QMA certification and training curriculum
approval in Indiana?
A. Indiana Family and Social Services Administration only
B. Indiana Department of Education
C. Indiana Board of Nursing only
D. Indiana State Department of Health (ISDH)
Correct Answer: D
4. A QMA administering insulin in Indiana must do so under whose
delegation and supervision?
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, Indiana QMA Insulin Administration
A. Another QMA with more seniority
B. A licensed nurse (RN or LPN) per facility policy and state regulation
C. A physician must be present for every injection
D. No supervision is required once certified
Correct Answer: B
5. Before a QMA in Indiana can administer insulin, what additional
training beyond basic QMA certification is typically required?
A. A pharmacy technician license
B. A four-year nursing degree
C. A state-approved insulin administration training/skills module with
return demonstration
D. Nothing additional is required
Correct Answer: C
6. Which of the following is OUTSIDE a QMA's legal scope of practice
regarding insulin, even after specialized training?
A. Documenting the administration in the medication record
B. Checking a blood glucose reading before giving insulin per protocol
C. Independently determining or adjusting the insulin dose based on
clinical judgment
D. Administering a pre-set dose ordered by a physician
Correct Answer: C
7. If a QMA is uncertain whether an insulin order is safe to administer,
the correct action is to:
A. Contact the pharmacy directly to change the order
B. Stop and consult the supervising nurse before proceeding
C. Give the dose as written and report it later
D. Withhold all medications for that resident indefinitely
Correct Answer: B
8. Under Indiana rules, can a QMA administer insulin via an insulin
pump?
A. Yes, if the resident requests it
B. Yes, without any restriction
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, Indiana QMA Insulin Administration
C. No — pump management and programming is outside standard QMA
scope
D. Yes, but only on weekends
Correct Answer: C
9. A QMA's certification to give insulin in Indiana must generally be
renewed:
A. It never requires renewal
B. Periodically per ISDH/registry requirements, alongside standard QMA
renewal
C. Only once, for life
D. Every ten years automatically
Correct Answer: B
10. Which statement best describes the supervising nurse's role when a
QMA gives insulin?
A. The nurse's role ends after initial training
B. The nurse remains responsible for oversight, assessment, and is
available for consultation
C. The nurse has no further responsibility once delegation occurs
D. The nurse must personally draw up every dose
Correct Answer: B
11. A QMA discovers a resident's blood glucose is critically low before a
scheduled insulin dose. The QMA should:
A. Give the insulin dose as scheduled regardless
B. Withhold the insulin and immediately notify the supervising nurse
C. Wait until the next shift to report it
D. Give half the dose without asking anyone
Correct Answer: B
12. Which of these tasks IS within an Indiana QMA's scope when
properly trained and delegated?
A. Prescribing a new sliding-scale protocol
B. Administering a physician-ordered, pre-measured insulin dose using
aseptic technique
C. Diagnosing diabetes type
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, Indiana QMA Insulin Administration
D. Changing the insulin regimen based on lab trends
Correct Answer: B
13. QMA insulin administration training must include return
demonstration of which skill?
A. Starting an IV line
B. Correct drawing up and injecting of insulin using proper technique
C. Suturing a wound
D. Interpreting an EKG strip
Correct Answer: B
14. A facility's QMA insulin program in Indiana typically requires
documented competency validation by:
A. A registered nurse or qualified trainer
B. The resident's family member
C. Another QMA with no additional credential
D. A pharmacy delivery driver
Correct Answer: A
15. If a resident refuses their scheduled insulin injection, the QMA
should:
A. Not force administration, and document and report the refusal to the
nurse
B. Administer it anyway using restraint
C. Give a different medication instead
D. Skip documentation since it wasn't given
Correct Answer: A
16. Under delegation principles, who ultimately retains accountability
for the insulin order itself?
A. The pharmacy technician who filled it
B. The facility's maintenance staff
C. The QMA alone
D. The prescribing physician/practitioner
Correct Answer: D
17. A QMA may administer insulin using a sliding scale ONLY when:
A. The QMA develops their own scale based on experience
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INDIANA QMA INSULIN ADMINISTRATION CERTIFICATION |
COMPLETE EXAM 2026/2027 | QUESTIONS AND 100%
VERIFIED ANSWERS | PASS GUARANTEE
1. What does the acronym QMA stand for in Indiana long-term care
regulation?
A. Qualified Medication Aide
B. Quality Medication Administrator
C. Qualified Med-Surg Aide
D. Qualified Medical Assistant
Correct Answer: A
2. In Indiana, QMA insulin administration authority is primarily
governed under which body of administrative code?
A. 210 IAC insurance code
B. 440 IAC environmental code
C. 410 IAC (Indiana Administrative Code, health facility regulations)
D. 310 IAC natural resources code
Correct Answer: C
3. Which agency oversees QMA certification and training curriculum
approval in Indiana?
A. Indiana Family and Social Services Administration only
B. Indiana Department of Education
C. Indiana Board of Nursing only
D. Indiana State Department of Health (ISDH)
Correct Answer: D
4. A QMA administering insulin in Indiana must do so under whose
delegation and supervision?
Page 1 of 43
, Indiana QMA Insulin Administration
A. Another QMA with more seniority
B. A licensed nurse (RN or LPN) per facility policy and state regulation
C. A physician must be present for every injection
D. No supervision is required once certified
Correct Answer: B
5. Before a QMA in Indiana can administer insulin, what additional
training beyond basic QMA certification is typically required?
A. A pharmacy technician license
B. A four-year nursing degree
C. A state-approved insulin administration training/skills module with
return demonstration
D. Nothing additional is required
Correct Answer: C
6. Which of the following is OUTSIDE a QMA's legal scope of practice
regarding insulin, even after specialized training?
A. Documenting the administration in the medication record
B. Checking a blood glucose reading before giving insulin per protocol
C. Independently determining or adjusting the insulin dose based on
clinical judgment
D. Administering a pre-set dose ordered by a physician
Correct Answer: C
7. If a QMA is uncertain whether an insulin order is safe to administer,
the correct action is to:
A. Contact the pharmacy directly to change the order
B. Stop and consult the supervising nurse before proceeding
C. Give the dose as written and report it later
D. Withhold all medications for that resident indefinitely
Correct Answer: B
8. Under Indiana rules, can a QMA administer insulin via an insulin
pump?
A. Yes, if the resident requests it
B. Yes, without any restriction
Page 2 of 43
, Indiana QMA Insulin Administration
C. No — pump management and programming is outside standard QMA
scope
D. Yes, but only on weekends
Correct Answer: C
9. A QMA's certification to give insulin in Indiana must generally be
renewed:
A. It never requires renewal
B. Periodically per ISDH/registry requirements, alongside standard QMA
renewal
C. Only once, for life
D. Every ten years automatically
Correct Answer: B
10. Which statement best describes the supervising nurse's role when a
QMA gives insulin?
A. The nurse's role ends after initial training
B. The nurse remains responsible for oversight, assessment, and is
available for consultation
C. The nurse has no further responsibility once delegation occurs
D. The nurse must personally draw up every dose
Correct Answer: B
11. A QMA discovers a resident's blood glucose is critically low before a
scheduled insulin dose. The QMA should:
A. Give the insulin dose as scheduled regardless
B. Withhold the insulin and immediately notify the supervising nurse
C. Wait until the next shift to report it
D. Give half the dose without asking anyone
Correct Answer: B
12. Which of these tasks IS within an Indiana QMA's scope when
properly trained and delegated?
A. Prescribing a new sliding-scale protocol
B. Administering a physician-ordered, pre-measured insulin dose using
aseptic technique
C. Diagnosing diabetes type
Page 3 of 43
, Indiana QMA Insulin Administration
D. Changing the insulin regimen based on lab trends
Correct Answer: B
13. QMA insulin administration training must include return
demonstration of which skill?
A. Starting an IV line
B. Correct drawing up and injecting of insulin using proper technique
C. Suturing a wound
D. Interpreting an EKG strip
Correct Answer: B
14. A facility's QMA insulin program in Indiana typically requires
documented competency validation by:
A. A registered nurse or qualified trainer
B. The resident's family member
C. Another QMA with no additional credential
D. A pharmacy delivery driver
Correct Answer: A
15. If a resident refuses their scheduled insulin injection, the QMA
should:
A. Not force administration, and document and report the refusal to the
nurse
B. Administer it anyway using restraint
C. Give a different medication instead
D. Skip documentation since it wasn't given
Correct Answer: A
16. Under delegation principles, who ultimately retains accountability
for the insulin order itself?
A. The pharmacy technician who filled it
B. The facility's maintenance staff
C. The QMA alone
D. The prescribing physician/practitioner
Correct Answer: D
17. A QMA may administer insulin using a sliding scale ONLY when:
A. The QMA develops their own scale based on experience
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